Abstract Book Vol. 2 [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

XIV International AIDS Conference

Abstracts ThPeF8208-ThPeF8212 635

Linking to health schemes for the general population proved more successful
than developing specific initiatives for people with HIV. A multidisciplinary, evidence based approach to deciding health priorities may help overcome barriers
to new developments.
Recommendations: Holistic, non medical interventions merit further investigation as potential benefits include improved mental and physical health and the
prevention or alleviation of adverse effects of HIV and HAART
Presenting author: Vivian Pribram, Flat D, 3 Chapter Street, London, SW1P
4NY, United Kingdom, Tel.: [phone], E-mail: [email protected]
ThPeF8208I Optimizing nutrition status through education in
food pantry clients
D.L. Pieribone, L. Herman, S. Singer, M. Fenton, J. UHeureu. AIDS Project Los
Angeles, 3550 Wilshire Blvd., Suite 300, Los Angeles, California,90010, United
States
Issue: People living with HIV/AIDS (PLWAs) must be informed about the vital role
of food/water safety and nutrition support in the management of HIV disease to
realize optimum HIV treatment success. Yet many medical providers do not explain nutrition issues to their patients and/or are unable to refer the patient to a
registered dietitian.
Description: AIDS Project Los Angeles (APLA), a Southern California
community-based organization, provides comprehensive services and education
for PLWAs, including a food pantry called the 'Necessities of Life Program' (NOLP)
and a medical nutrition education program. APLA developed and instituted a
pilot program to integrate NOLP and nutrition education, assess clients' nutritional status, and triage them into services. All NOLP clients receive monthly
food safety/nutrition fact sheets and recipes for nutritious meals using the food
provided. Materials are in English and Spanish. NOLP clients are given a selfadministered quick nutrition screen (QNS). This screen, developed by APLA's
registered dietitians, collects data on nutrition risk factors and body weight (ideal
body weight, actual body weight, weight loss/gain, etc.). Depending on the score
and weight calculations, the client will be referred to a specialized nutrition workshop and/or a visit with a registered dietitian and/or their results will be provided
to their medical provider. Pre- and post tests from workshops and follow-up (6
month) QNS will be used to evaluate intervention effectiveness.
Lessons Learned: Food pantries can be integrated with medical nutrition education programs. Program effectiveness will be analyzed after one year.
Recommendations: Positive results will require all NOLP clients be to enrolled
in the integrated program. In turn, they will be better able to use food provided by
the program and apply information learned to maximize treatment and healthcare
success.
Presenting author: David Pieribone, 3550 Wilshire Blvd., Suite 300, Los Angeles, California,90010, United States, Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeF8209 Video: Nutrition and HIV/AIDS
M.G.A. Labr6a. City Council Health Department, Av Lucas de Oliveira, 1960 ao.
203, Porto Alegre-RS, CEP 90460000, Brazil
Issues: This videotape is justified for the non -existence of this kind of recourse
to divulge informations about the relation among Nutrition and HIV/AIDS in Brazil
and to show that the nutrition and its cares are basic part of the treatment for HIV.
Description: Time: 25 minutes. Script: 1) Why must we give a special attention
for a nutrition? 2) What is an equilibrated alimentation trough Alimentary Pyramid? 3) How to buy food cheaply and with more quality? 4) Which the relation
among nutrition and HIV/AIDS? 5) How to store and to clear the foods? 6) Which
the relations among the HAART and foods? 7) How to prevent and improve some
collateral effects of the HAART? The language used in this video was understanding easy and showed interviews with professionals and people with HIV. Besides,
there are testimonies of the HIV positive.
Lessons learned: This video to stimulate a better nutrition of the people who
living with HIV and stimulate better adherence to treatments.
Recommendations: This video can be used in groups of HIV positive, their caregivers and others professionals where there is not the nutritionist; can be used in
adherence groups. The next step is the publication of a spelling book about the
informations presented in this video.
Presenting author: Maria da Graga Labrea, Av. Lucas de Oliveira, 1960 ao. 203,
Porto Alegre-RS, CEP 90460000, Brazil, Tel.: [phone], E-mail: clabrea
@terra.com.br
ThPeF8210 Corporal image and life quality: the experience of
the intervention nutritional in the care of the people
living HIV/AIDS in a specialized service in Sao

Paulo city- Brazil
J.A.C. Csta. STD/AIDS Municipal Coordinated Sao Paulo City- Healht
Department-Brazil, Rua: Vereda el Paso, n. 1313, Vila Machado, Mairipord- Sao
Paulo, CEP 07600-000, Brazil
Issues: Attendance and support nutritional to people living with HIV/AIDS in specialized service in the city of Sao Paulo.

Description: Making part of multiprofissional attention patients in accompaniment in the Service of Specialized Clinic STD/AIDS Santana-SP city are assisted
by dietitian in individual consultation, being made assessment and education appropriate nutritional; being aimed at corrections of behaviors and alimentary patterns to optimize nutritional status, better resistance to the medication therapies
and help with control of symptoms to medication side effects. Valorization of the
life quality self-esteem and to contribute with the treatment adherence.
Learned lessons: We have been verifying, mainly, that soon after the diagnosis
the patients alter your pattern to feed, consuming foods that consider important
a lot of times in an incorrect way, concerned with the weight gain because they
don't want to look like a sick people. In elapsing of the accompaniment after long
time using HAART therapy the patients can have a lypodistrophy syndromes then
that picture is inverted and the patients are imposed their a series of alimentary
restrictions, wanting to preserve or to return what they consider the "ideal corporal image". We observed cases in that the patients follows the nutritional plan
proposed practice physical activity and get to maintain your muscular mass what
contributes to improvement of your clinical state and control of disease evolution.
Recommendations: Early nutrition support intervention nutritional education and
counseling. Assessment and treatment of nutrient deficiencies maintenance and
restoration of the nutritional status support for life quality increasing self-esteem,
to work the "ideal corporal image" and the improvement of the treatment adherence. Those recommendations are important strategies in the health care of the
people living with HIV/AIDS.
Presenting author: Janete Costa, Rua: Vereda el Paso, n. 1313, Vila Machado,
Mairipord- Sao Paulo, CEP 07600-000, Brazil, Tel.: [phone], Fax: +55
11 6977 7739, E-mail: [email protected]
ThPeF821 1 Impact of a nutritional education intervention on
growth of children born to HIV infected women in
Kampala, Uganda
C.A. Duefield1, H. Bachou2. 1University Kampala, Uganda; 2Hospital, PO Box
23491, Uganda
Background: In Uganda, malnutrition is highly prevalent amongst children, complicating management of HIV/AIDS. Out of concern over this, underweight children born to HIV infected mothers attended nutrition sessions provided by the research collaboration between Makerere University and John Hopkins University
in Kampala. Objective of this study is to assess the impact of nutrition education
on the growth of underweight children.
Methods: Health and nutrition education conducted by nurses and peers. Sessions demonstrated preparation of affordable and nutritious foods. Children received micronutrients and anti-helminths. At each visit children were weighed
and examined. Caretakers were counseled individually. Sick children were referred and followed up weekly. Families received food rations and transport reimbursement. Weight-for-age Z-scores (WAZ) were calculated for each visit and
clinical assessments recorded. WAZ compared to demographic and clinical data.
Data was collected on standard questionnaires completed at enrollment and discharge. Data entered into Epi-Info and verified using logical edit checks. Growth
measures summarized using EpiAnthro 6.04 and SAS 8.02 used for further analyses.
Results: 245 children seen between 1999 and 2001. Mean visits 3.9; 33.9% HIVinfected. Mean WAZ at enrollment -2.01; mean age 11.9 months; 50.1% male;
43.1% breastfeeding. Of those with > 2 clinic visits, 57% improved in WAZ. A
regression model assessed predictors of WAZ; male gender, parents separated,
HIV sero-positive, and retarded development were significant predictors of lower
WAZ.
Conclusion: Evaluation of this nutrition program reveals improvement in nutrition
of children despite their HIV status. This study provides evidence of increased
malnutrition among HIV negative children born to infected mothers. Further analysis reveals that boys were less likely to breastfeed, which may explain the difference in WAZ by gender in this cohort.
Presenting author: Hanifa Bachou, P0 Box 23491, Uganda, Tel.: [phone]
044, Fax: [phone], E-mail: [email protected]
ThPeF8212 A nutritional guideline to outpatient clinic care for
adults living with HIV/AIDS
K.C. Bassichetto, H.F Piloto. S~o Paulo City Health Department, Al. Franca, 114
ap. 121, S~o Paulo - SP, CEP 01422-000, Brazil
Issues: A systematization of a nutrition guideline for HIV patients, at a Sao Paulo
City Health Department outpatient clinic.
Description: In order to minimize the nutritional status compromising and to avoid
nutritional deficiencies we systematized a nutritional follow-up. We evaluate and
follow-up patients nutritional status related to weight and body mass loss, characterize patient habits and evaluate qualitative and quantitative fitness of patient
feeding standard in terms of macro and micro nutrients, mainly those involved

direct or indirectly with the immunological system. We promote feeding education, based upon food pyramid, offer orientation on proper hygienization for food
and utilities, global and specific dietetic orientation to patient, both for their base
pathologies as well to smooth symptoms and collateral effects due to use of antiretroviral and prescribe dietetic supplementation if needed.
In individual consults we evaluate body composition and perform a biochemical
and dietetic evaluation. We plan to offer group consultation to develop educational